| NPI | 1154373025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C003202) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC C003202) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-12-03 |